Acute isolated ptosis after dental treatment

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association Pub Date : 2025-09-01 DOI:10.1016/j.adaj.2025.06.009

Reema Mahmoud DMD, Sofi Matot MD, Avraham Abergel MD, Shimrit Arbel DMD

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引用次数: 0

Abstract

Background

Isolated ptosis due to sinusitis without accompanying symptoms, such as ophthalmoplegia or orbital cellulitis, is rare, with few cases reported in the literature and none linked to dental procedures.

Case Description

The authors describe a rare instance of isolated left-sided ptosis in a 5-year-old girl after dental treatment under nitrous oxide sedation. Computed tomographic imaging revealed pansinusitis without intraorbital complications. Proposed mechanisms included inflammation exacerbated by means of bacterial spread after the dental procedure and the use of nitrous oxide as well as possible compression of the superior division of the oculomotor nerve. Treatment with intravenous antibiotics led to near-complete resolution of ptosis within 5 days.

Practical Implications

Outcomes of this case highlight the importance of recognizing isolated ptosis as a rare complication of rhinosinusitis, particularly in pediatric patients. Prompt diagnosis and timely management are essential to prevent further complications.

查看原文本刊更多论文

牙科治疗后急性孤立性上睑下垂1例报告并文献复习。

背景：鼻窦炎引起的孤立性上睑下垂，没有伴随症状，如眼麻痹或眶蜂窝织炎，是罕见的，文献报道的病例很少，没有与牙科手术有关。病例描述：作者描述了一个罕见的例子孤立左侧上睑下垂在一个5岁的女孩牙科治疗后，在一氧化二氮镇静。计算机断层扫描显示全鼻窦炎，无眶内并发症。提出的机制包括牙科手术后细菌扩散和使用氧化亚氮以及可能压迫动眼神经上分支而加剧的炎症。静脉注射抗生素治疗在5天内几乎完全解决了上睑下垂。实际意义：本病例的结果强调了认识孤立性上睑下垂作为鼻窦炎罕见并发症的重要性，特别是在儿科患者中。及时诊断和及时治疗对于预防进一步并发症至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Dental Association 医学-牙科与口腔外科

CiteScore

5.30

自引率

10.30%

发文量

221

审稿时长

34 days

期刊介绍： There is not a single source or solution to help dentists in their quest for lifelong learning, improving dental practice, and dental well-being. JADA+, along with The Journal of the American Dental Association, is striving to do just that, bringing together practical content covering dentistry topics and procedures to help dentists—both general dentists and specialists—provide better patient care and improve oral health and well-being. This is a work in progress; as we add more content, covering more topics of interest, it will continue to expand, becoming an ever-more essential source of oral health knowledge.